NPI | 1346510500 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY COLE Member 708-738-2778 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001107A) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |